Evaluate the case below and choose two (2) potential differential diagnoses
that relate to PARA2000 topic content.
The case study will provide you with an opportunity to discuss:
x Key clinical signs of the case
x Differential diagnoses and their rationales
x The pathophysiology of those diagnoses
x Current management practices
x A critique on the evidence supporting the management practices
You are required to demonstrate a thorough understanding of the
pathophysiology and provide rationales for your alternative diagnoses and
interventions.
It is expected that you research the condition from both text books and current
literature. At least five journal articles are expected to be part of your literature
search (Less than 10 years old). The goal is to provide up to date evidence
based practice for the management of the patient’s condition.
Higher grades will be awarded for evidence of extensive use of literature and a
critical evaluation of the care provided fo r the patient.
2500 word limit
Case Scenario
Situation: You have been called to the office of a 57 year old woman, L ily, who
experienced an episode of syncope.
Background: The patient has a history of has been complaining of feeling
increasingly unwell for the last 24 hours with pain in her chest . She has been
bruising easily over the last 3 months and is currently being investigat ed by her
GP.
PMHx: Angina diagnosed 2 years ago, angioplasty (successful) , HT,
Asthma , GORD,
Med’n: Atenolol, GTN spray , trans iderm- nitro patch, atorvastatin,
s albutamol inhaler, s ymbicort inhaler, omeprazole, aspirin, paracetamol
PRN,
Allergies : Morphine
Comm. Diseases – Nil Known, up to date with vaccinations
Social Hx: Lives with partner
Family Hx: Father died of heart disease, mother died of breast cancer
Alcohol: Social
Smoking: stopped 10 years ago (30/day)
Assessment: When you arrive you find the patient looking distressed.
PARA2000 Pathophysiology 1 – Cardiovascular 201 5
Vital signs: BP 90/60, PR 105, RR 28, S p O2 96%, T35.1°C,
Appearance: Pale, cool, clammy, distressed
You are expected to:
x o utline your potential diagnosis and defend your diagnosis from
pathophysiology.
x provide an ECG appropriate to your diagnosis and explain why.
x outline the paramedic management of your patient, inclu ding the vital
signs and defend how these align for your potential diagnosis against the
A&P. Please see example for further clarification. (You may outline
treatment up to the first 24 hours in hospital)